4Salesfinance.com - Dealer Application

Welcome to 4 Sales Finance
Send us your turndowns and let us find financing for your customer.
Call us at 800.867.2216

Dealer:
Date Established:
DBA:
National Referral:
Key Contact/Title:
Store Contact Person:
Street:
City/State:
Zip:
Phone:
Fax:
Landlord/Mortgage Holder:
Street:
City/State:
Zip:
Phone:
Fax:
E-Mail Address:
Person to Contact:

Type of Ownership: Sole Owner
Partnership
Corp in State of
State
Zip
Phone:
Fax:

If Franchise, Franchiser Name:
Street:
City/State:
Zip:
Phone:
Fax:

Name:
Title:
Street:
City/State
Zip
Social Security #:--
Date of Birth
Name:
Title:
Street: City/State:
Zip:
Social Security #:--
Date of Birth

Name:
Title: Street: City/State:
Zip:
Social Security #:--
Date of Birth

Name:
Phone: Street:
City/State
Zip
Name:
Phone: Street: City/State:
Zip:

Name:
Phone: Street: City/State:
Zip:
Type of Merchandise:
How is Merchandise Sold:
Type of Warranty Offered:
Type of Advertising:

Typical Type of Residence Homeowner
Renter
Other

Average Age of Customer: From
To

Bank Credit Cards Accepted Cards Accepted:

Other Types of Financing Revolving Private Label
Single Purchase

Why Does Merchant Want to Change:

Financing Done How: In House
Outside With:

If Outside Financing: Discount%
Reserve%
Recourse%

Total Assets:$
Total Liabilities:$
Net Worth:$
Credit Sales Last Full Year:$
Average Charge or Contract:$

Net Sales, Last Three Years: First Year$
Second Year$
Third Year$

Current In-House Receivables: #
$

Business Checking / Depository: Bank:
Branch:
Phone:
Account Number:

Store Hours:
Day(s) Closed:
Number of Stores:
States Operating in:

Avg. No. Apps/Mo:
Avg. No. Turndowns:
Avg. Sale Amt.:
Avg. Contract Term:
Primary(s) APR%:
Current Finance Companies:
Special Financing Programs:
Frequency:
Buying Group:
Trade Association:

Type of Store: Furniture
Appliance/Electronics
Floor Coverings
Recreational Marine
Motorcycle/Power Sports
Spa & Pool

Value Added Products Sold: Credit Insurance
Service Contracts
Stain Protection

Trade References and/or Bank References (2 Each):

Remarks:

Note: If you have multiple locations, please list them in the remarks section of this form.